| Ahwatukee Dentistry, Pllc | |
|
15215 S 48th St Ste 113 Phoenix AZ 85044-9137 | |
| (480) 961-3330 | |
| Not Available |
| Full Name | Ahwatukee Dentistry, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 15215 S 48th St Ste 113, Phoenix, Arizona |
| Authorized Official Name and Position | Tam T. Le (DENTIST) |
| Authorized Official Contact | 4809613330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahwatukee Dentistry, Pllc 15215 S 48th St Ste 113 Phoenix AZ 85044-9137 Ph: () - | Ahwatukee Dentistry, Pllc 15215 S 48th St Ste 113 Phoenix AZ 85044-9137 Ph: (480) 961-3330 |
| NPI Number | 1528256773 |
|---|---|
| Provider Enumeration Date | 10/11/2007 |
| Last Update Date | 10/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528256773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D5767 (Arizona) | Primary |
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